# ATI RN PROCTORED EXAMS BUNDLE 2023 – NGN
COMPLETE REVIEW
## Comprehensive Study Resource: All Core
Nursing Content Areas
This resource combines **actual exam questions** from the 2023 ATI Proctored Exams across all core
nursing content areas, formatted in the **Next Generation NCLEX (NGN) style**. Each question includes
the correct Answer and detailed rationale to help you prepare effectively .
---
## TABLE OF CONTENTS
| Section | Topic | Page |
|:---|:---|:---|
| 1 | Fundamentals of Nursing | 2 |
| 2 | Adult Medical-Surgical Nursing | 6 |
| 3 | Pharmacology | 11 |
| 4 | Leadership & Management | 14 |
| 5 | Comprehensive Capstone Review | 16 |
---
## SECTION 1: FUNDAMENTALS OF NURSING
---
,### Q1. Delegation to Assistive Personnel
**A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate
to an assistive personnel (AP)?**
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diuretic
C) Comparing radial pulses for a client who is postoperative
D) **Providing postmortem care to a client**
**Answer: D) Providing postmortem care to a client**
**Rationale:** Postmortem care is a routine, non-invasive task that falls within the scope of practice for
assistive personnel. The task has a predictable outcome and does not require nursing judgment. The
other options require assessment skills and clinical judgment, which are beyond the AP's scope .
---
### Q2. Isolation Precautions – Tuberculosis
**A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?**
A) Droplet
B) **Airborne**
C) Protective environment
D) Contact
**Answer: B) Airborne**
,**Rationale:** Tuberculosis is transmitted via airborne particles that can remain suspended in the air
for extended periods. Airborne precautions require a negative pressure room and an N95 respirator for
anyone entering the room .
---
### Q3. Herbal Supplements – Client Understanding
**A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?**
A) "I take ginkgo biloba for a headache."
B) "I take echinacea to control my cholesterol."
C) **"I use ginger when I get car sick."**
D) "I use garlic for my menopausal symptoms."
**Answer: C) "I use ginger when I get car sick."**
**Rationale:** Ginger is commonly used to treat nausea and motion sickness. Ginkgo biloba is used for
memory/cognition, echinacea for immune support/colds, and garlic for cholesterol and cardiovascular
health .
---
### Q4. Wrist Restraints – Safe Application
**A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.
Which of the following actions should the nurse take?**
A) Attach the restraints securely to the side rails of the client's bed.
, B) Apply the restraints to allow as little movement as possible.
C) **Allow room for two fingers to fit between the client's skin and the restraints.**
D) Remove the restraints every 4 hours.
**Answer: C) Allow room for two fingers to fit between the client's skin and the restraints.**
**Rationale:** Two fingers should fit between the restraint and the client's skin to ensure proper
circulation and prevent injury. Restraints should be tied to the bed frame (not side rails), removed every
2 hours, and allow for range of motion .
---
### Q5. Unconscious Client – Oral Care
**A nurse is providing oral care for a client who is unconscious. Which of the following actions should
the nurse take?**
A) **Place the client in a side-lying position.**
B) Brush the client's teeth daily.
C) Apply mineral oil to the client's lips.
D) Rinse the client's mouth with an alcohol-based mouthwash.
**Answer: A) Place the client in a side-lying position.**
**Rationale:** Positioning an unconscious client in a side-lying position prevents aspiration of fluids into
the lungs during oral care. Oral care should be performed every 2 hours, water-soluble lubricant should
be used on lips (mineral oil can be aspirated), and alcohol-based mouthwash should be avoided as it can
dry mucous membranes .
---
COMPLETE REVIEW
## Comprehensive Study Resource: All Core
Nursing Content Areas
This resource combines **actual exam questions** from the 2023 ATI Proctored Exams across all core
nursing content areas, formatted in the **Next Generation NCLEX (NGN) style**. Each question includes
the correct Answer and detailed rationale to help you prepare effectively .
---
## TABLE OF CONTENTS
| Section | Topic | Page |
|:---|:---|:---|
| 1 | Fundamentals of Nursing | 2 |
| 2 | Adult Medical-Surgical Nursing | 6 |
| 3 | Pharmacology | 11 |
| 4 | Leadership & Management | 14 |
| 5 | Comprehensive Capstone Review | 16 |
---
## SECTION 1: FUNDAMENTALS OF NURSING
---
,### Q1. Delegation to Assistive Personnel
**A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate
to an assistive personnel (AP)?**
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diuretic
C) Comparing radial pulses for a client who is postoperative
D) **Providing postmortem care to a client**
**Answer: D) Providing postmortem care to a client**
**Rationale:** Postmortem care is a routine, non-invasive task that falls within the scope of practice for
assistive personnel. The task has a predictable outcome and does not require nursing judgment. The
other options require assessment skills and clinical judgment, which are beyond the AP's scope .
---
### Q2. Isolation Precautions – Tuberculosis
**A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?**
A) Droplet
B) **Airborne**
C) Protective environment
D) Contact
**Answer: B) Airborne**
,**Rationale:** Tuberculosis is transmitted via airborne particles that can remain suspended in the air
for extended periods. Airborne precautions require a negative pressure room and an N95 respirator for
anyone entering the room .
---
### Q3. Herbal Supplements – Client Understanding
**A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?**
A) "I take ginkgo biloba for a headache."
B) "I take echinacea to control my cholesterol."
C) **"I use ginger when I get car sick."**
D) "I use garlic for my menopausal symptoms."
**Answer: C) "I use ginger when I get car sick."**
**Rationale:** Ginger is commonly used to treat nausea and motion sickness. Ginkgo biloba is used for
memory/cognition, echinacea for immune support/colds, and garlic for cholesterol and cardiovascular
health .
---
### Q4. Wrist Restraints – Safe Application
**A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.
Which of the following actions should the nurse take?**
A) Attach the restraints securely to the side rails of the client's bed.
, B) Apply the restraints to allow as little movement as possible.
C) **Allow room for two fingers to fit between the client's skin and the restraints.**
D) Remove the restraints every 4 hours.
**Answer: C) Allow room for two fingers to fit between the client's skin and the restraints.**
**Rationale:** Two fingers should fit between the restraint and the client's skin to ensure proper
circulation and prevent injury. Restraints should be tied to the bed frame (not side rails), removed every
2 hours, and allow for range of motion .
---
### Q5. Unconscious Client – Oral Care
**A nurse is providing oral care for a client who is unconscious. Which of the following actions should
the nurse take?**
A) **Place the client in a side-lying position.**
B) Brush the client's teeth daily.
C) Apply mineral oil to the client's lips.
D) Rinse the client's mouth with an alcohol-based mouthwash.
**Answer: A) Place the client in a side-lying position.**
**Rationale:** Positioning an unconscious client in a side-lying position prevents aspiration of fluids into
the lungs during oral care. Oral care should be performed every 2 hours, water-soluble lubricant should
be used on lips (mineral oil can be aspirated), and alcohol-based mouthwash should be avoided as it can
dry mucous membranes .
---
